HomeMy Public PortalAbout4881 FRATUS DR_Plumbing__ lkh APPLICATION
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DIVISION OF BUILDING AND SAFETY
Deportment of County Engmeer
County of Los Angeles BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER l DISTRICT NO GROUP Z NE READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBE .�, .. r. INSPECTION RECORD
aiie- .L � b �g e-1 -.
ADDRESS Fleetwood Place
Glendora, California
CITY D 94
,, T.E�
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1 00 $
BATH TUB @ $1 00 If
SHOWER @ $1 00
LAVATORY (WASH BASIN) @ $1 00
/ KITCHEN SINK @ $1 00
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 OO
GAS SYSTEM @ $1 00
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PROUGH PLUMBING
PERMIT $ 1 00
I
TOTAL FEE O
cc GAS PIPING - -- -
GAS VENT pvj-67
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONHOTWATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
PLUMBING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES J
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OF PERMITTEE FINAL
JOHN A LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR
CK d 0 CASH
LACO7630 APR 3 1 0.0 0 U)
76 A 66-1-�CE 877 8/68 0/ f�
l
APPLICATION FOR PLUMBING PERMIT
g OOUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEARFST
JOHN A LAMBIE. COUNTY ENGINEERCOLEMAN W JENKINS SUP T OF BUILDING FOR APPLICANT TO FILL IN(PR NT OTYPE) C.(N1 �r
NUMBER FIXTURE OR ITEM EACH FEE 9
WATER CLOSET 1 50 OWNER
MAIL l
BATH TUB 150 ADDRESS
SHOWER 1 5o CITY TEL NO .9 K
LAVATORY 1 5o CONTRACTOR C� �
SINK 1 5o ADDRESS
DISHWASHER 1 5o CITY TEL NO
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 50
DISTRICT NO GROUP ZONE PROCESSED BY d
LAWN SPRINKLER SYSTEM 2 00 Q� ._r U
WATER HEATER 1 50 INDUSTRIAL Z
WASTE APPROVAL o
GAS SYSTEM "L—OUTLETS 1 SO INSPECTION RECORD v
w
OUTLETS OVER
5 PER SYSTEM 30 t/)
— � Z
Plan check fee 25% of above See reverse
PLUNIBING PERMIT ISSUING FEF. S 2 00
TOTAL FEF DO
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
dame ROUGH PLUMBING
AddreSS GAS PIPING
GAS VENT
City 7 el No
HOT WATER HEATER � b
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO -
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL
SIGNATURE JACK R. ALLEN, SUPER VISIN CH ANI C AL ENG'R
OF PERMITTE
PERMIT VALIDATION c K M O C ASH
PLAN CHECK VALIDATION CK M 0 CASH
WORKERS'COMPENSATION DECLARATION 76AG67A
I hereby affirm that I have a certificate of consent to self ce e17 (z-eo) APPLICATION FOR PLUMBING PERMIT
insure, or a certificate of Workers'Compensation Insurance,or
a certified copy thereof(Sec 3800,Lab C)
COUNTY OF LOS ANGELES �. � BUILDING AND SAFETY
Policy No Company ��
Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
't�V r—�'1 (�j ��
Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM FEE ADDRESS
department LOCALITY
WATER CLOSET �
Date Applicant NEAREST A
BATHTUB CROSS ST �(t_11Pr A �Sc� Nw
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE SHOWER OWNER ��-L(�
LAVATORY MAIL >_(This section need not be completed if the work involved ADDRESS �j�j l 1 0-
by
by the permit is for one hundred dollars ($100) or less) O
SINK CITY 1 � l�IE EL NO ��� U
I certify that in the performance of the work for which this DISHWASHER tr
CONTRACTOR
per it is issued, I shall not employ any pers n any manner 8(t_7 Q^/" F_
so t become subject to tl Wor rs'L'om anon aws CLOTHES WASHER
i Dat la Applicant ADDRESS LU
U
SWIMMING POOL RECEPTOR t1
YNO C O APPLICANT If, after mak g t s Ce ificate of CITY TEL NO rA
Exempt on, you should become subs Workers' LAWN SPRINKLER SYSTEM z
STATE LIC
Compensation provisions of the Labor Code, you must forth- LICENSE NO C SSS
with comply with such provisions or this permit shall be WATER HEATER
deemed revoked GAS SYSTEM OUTLETS A DISTRICT NO P OC SSED
LICENSED CONTRACTORS DECLARATION OUTLETS OVER �C
I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM
9 (commencing with Section 7000) of Division 3 of the Busi- V
FINAL
��—� / VALIDATI N
ness and Professions Code, and my license is in full force and DATES
effect i
FINAL "
License Number Lic Class BY
Contractor Date
'
I am exempt fromthe licensing requirements as I am a Plan check fee
' licensed architect-
•or a registered professional engineer PLUMBING PERMIT ISSUING FEE$
acting in my professional capacity (Section 7051, Bus-
iness and Professions Code) l p TOTAL FEE 1 Z1�9e5
Lic or Reg No Date Plan check applicant
HOME OWNER-BUILDER DECLARATION Name � >l.:T I p G LJ CJ lsC,C
.4� �
I hereby affirm that I am exempt from the Contractor's Address `
License Law for the following reason (Section 7031 5, Bust City 2 v� (� Tel No aC� - (Q�-] 9 0 4 0 8 A
ness and Professions Code)
F) I, as owner of the property, am exclusively contracting #l0 0 0 0 0 5
with licensed contractors to construct the project
(Section 7044, Business and Professions Code) 2,,- 0 1 0.00
CONSTRUCTION LENDING AGENCY o 0 0 O.0 0 v
I hereby affirm that there is a construction lending agency
for the performance of the work for which this permit is 072,10-81
issued(Sec 3097,Civ C)
Lender's Name
Lender's Address
I certify that I have read this application and state that the
above information is correct I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE
ordinances and State laws regulating Plumbing, and hereby
authorize representatives of this County to enter upon the
above-mentioned prop ty for inspection rposes
a - i
Signature of Penee Date
' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1108090017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS 1
ITR 22321 LT 12 I 1 4881 FRATUS DR I
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803718 1
(ASSESSOR INFORMATION NUMBER II NEAREST CROSS STREET RIO HONDO
18590-030-037 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY, Cl
1 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 30 I 1
ITENANT I TOTAL FEES 44 10 (ISSUED ON PROCESSED BY PLAN BY 1
I I 108/09/11 VG
I
10WNER TEL NO 1 IFJIAL DATE FINAL CODE
ITODA MASAFUMI,EIKO (626) 285-0311- 1 1 X I
14881 FRATUS DR I I I
ITEMP 917803718 IDtSCRIPTION OF WORK 1
I I IA/C CHANGE OUT, CHANGE OUT AND RELOCATE FAU FROM CLOSET TO 1
I I (ATTIC, REPLACE DUCTING
1APPLICANT TEL NO I I I
CONTRERAS, CARRA (626) 286-3157- 1 I 1
1 1 ISPECIAL CONDITIONS
I I I I
I I I I
ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE I
ICONNOR AIR CONDITIONING (626) 286-3157- I 1 I
14931 ENCINITA AVE LIC NO 1 (UNDER SLAB WORK I I
ITEMPLE CITY, CA 91780 403735 C2O 1 I I 1
1 IWATER SERVICE I I
1 1 IPLASTIC Y/N METAL Y/N I I I
1ARCHITECT OR ENGINEER TEL NO 1 I I 1 I
I - I IROUGH PLUMBING I 1
LIC NO I I I I
1 I IGAS PIPING I I I
I I I I I I
I IGAS VENT I I I
I I I I I
IHOT WATER HEATER 1
I I I I I
I 1 IPLUM13ING FIXTURES
I I I I I I
I 1 ILAWN SPRINKLERS I I I
I I I I I I
I IGAS TEST I I I
I I I I I I
(UTILITY COMPANY NOTIFIED( I I
I I I I I I
I I ICwV I I
I I I I I I
I I 1GRAY WATER SYSTEM
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
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I I I I I I
IREPORT ID DPR263 ROUTE TO BS0508 1 I I
I I I I I
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0711150036
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID
BUILDING ADDRESS
ITR 22321 IT 12 4881 FRATUS DR
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803718 1
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET RIO HONDO
18590-030-037 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1 00 FIX 16 20 1 I
ITENANT 125 LAVATORIES/SINKS 1 00 FIX 16 20 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I
1 145 WATER CLOSET/URINAL 1 00 FIX 16 20 111/15/07 SR 05/13/08 1
1 1 TOTAL FEES 76 35 1 1
(OWNER TEL NO 1 1FINAL DATE FINN., BY CODE I
ITODA MASAFUMI,EIKO (626) 285-0311- 1 1 LI 1
14881 FRATUS DR I I
TEMP 917803718 1 1DESC IPTI N OF WORK I 1
I IPLUMBING FOR NEW BATHROOM I
(APPLICANT TEL NO 1 1 I
ITODA (626) 285-0311- 1
14881 FRATUS DR I ISPECIAL CONDITIONS I
ITEMPLE CITY CA 91780 I
1
I �
I
ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1
ITODA, MASAFUMI (626) 285-0311- 1 1 1
14881 FRATUS DR LIC NO 1 (UNDER SLAB SLAB WORKK
1TEMPLE CITY, CA 91780 NONE 1
I I IWATER SERVICE
1 I I 1
1PLASTIC YIN METAL YIN I
(ARCHITECT OR ENGINEER TEL NO 1 I I
ITODA, MASAFUMI (626) 285-0311- 1 IROUGH PLUMBING
14881 FRATUS DR LIC NO I I 1
(TEMPLE CITY, CA 91780 NONE 1 IGAS PIPING
IGAS VENT I I
I I I
1 1 IHOT WATER HEATER 1 1 1
I I I
1 1 IPLUM13ING FIXTURES 1 I 1
I I I
(LAWN SPRINKLERS 1
I I I
1 IGAS TEST I 1 1
I I I
1 1 1UTILITY COMPANY NOTIFIEDI I 1
I ICwV I I I
I 1 IGRAY WATER SYSTEM
I I I 1�1e7lI
1 I I I I I
1 I I I I I
I_ IREPORT ID DPR263 ROUTE TO BS0508 1 1 1
1 I I I I I